Early Head Start Transition Planning Form Page 3

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_____________________________________________
_____________________________________________
Week #2
Attendance (Number of hour per day)
___________
Duration of adjusted schedule (1 day, 3 days, etc.)
_______
Comments:
______________________________________
______________________________________________
______________________________________________
By signing below, the Parent and EHS Lead Teacher agree to the Transition Plan designed
specifically for this child.
Parent Signature: _________________________________________ Date:______________
Lead Teacher Signature: _____________________________________ Date: ____________
Revised 12/12
A division of Cumberland Community Action Program, Inc. (CCAP)

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